长三角地区中医药卫生资源配置现状及运行效率分析

Analysis of the allocation and operational efficiency of traditional Chinese medicine health resources in the Yangtze River Delta region

目的分析长三角地区中医药卫生资源配置现状和运行效率变化情况。方法采用描述性统计方法对2012—2021年长三角地区中医药卫生资源的配置现状进行分析,采用三阶段数据包络分析模型静态分析中医药卫生资源运行效率,采用Malmquist指数模型动态分析中医药卫生资源运行效率。结果长三角地区中医药卫生资源相对丰富,经过三阶段数据包络分析,江苏、浙江的综合效率、纯技术效率和规模效率基本均被低估;上海的纯技术效率、规模效率和综合效率基本均被高估;安徽的纯技术效率、规模效率和综合效率在2012—2016年被高估,2017—2021年被低估。经过Malmquist指数模型动态分析,2012—2021年长三角地区中医药卫生资源的全要素生产率指数在1.000上下波动,均值为0.984,运行效率呈下降趋势。结论长三角地区中医药卫生资源配置不均衡,利用差异化,效率不稳定。建议政府和卫生健康行政主管部门因地制宜,合理规划区域卫生,加强技术创新,提高医疗技术水平,提高中医药卫生资源配置运行效率。

Objective To analyze the allocation and changes in the operational efficiency of traditional Chinese medicine(TCM)health resources in the Yangtze River Delta region.Methods Descriptive statistical method was used to analyze the allocation status of traditional Chinese medicine(TCM)health resources in the Yangtze River Delta region from 2012 to 2021.A three-stage data envelopment analysis(DEA)model was used to statically analyze the operational efficiency of TCM health resources,while the dynamical analysis was achieved by a Malmquist index model.Results The Yangtze River Delta region is relatively rich in TCM health resources.Using the three-stage DEA,the comprehensive efficiency,pure technical efficiency,and scale efficiency of Jiangsu and Zhejiang were generally underestimated,while those of Shanghai were overestimated.For Anhui province,these efficiencies were overestimated from 2012 to 2016 and underestimated from 2017 to 2021.Dynamic analysis using the Malmquist index model revealed that from 2012 to 2021,the total factor productivity index of TCM health resources in the Yangtze River Delta region fluctuated around 1.000,with an average value of 0.984,indicating a downward trend in operational efficiency.Conclusions The allocation of TCM health resources in the Yangtze River Delta region is unbalanced,with differentiated utilization and insufficient efficiency.It is suggested that the government and health authorities adopt measures tailored to local conditions,rationally plan regional health resources,strengthen technological innovation,improve medical technology,and enhance the allocation and operational efficiency of TCM health resources.